<!DOCTYPE html>
<html>

<head>

    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">

    <title> 咨询</title>
    <meta name="keywords" content="">
    <meta name="description" content="">

    <link rel="shortcut icon" href="favicon.ico"> <link href="css/bootstrap.min.css?v=3.3.6" rel="stylesheet">
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    <link href="css/style.css?v=4.1.0" rel="stylesheet">
    <script>if(window.top !== window.self){ window.top.location = window.location;}</script>
</head>

<body class="gray-bg">

    <div class="middle-box text-center loginscreen   animated fadeInDown">
        <div>
            <div>

                <h1 class="logo-name"></h1>
				<img class="logo-name" src="img/logoh.png" height="100px" width="100px" />
            </div>
            <br />
            <h3>发起咨询</h3>
            <br />
            <form class="m-t" role="form" action="login.html" style="text-align: left;">
                
                <div class="form-group">
                	<a style="font-size: 15px; color: black;">科室</a><a style="color: red;">*</a>
                	<div class="form-group">
                		<div class="form-group">
                			<select class="form-control" id="sex">
                				<option>请选择您要咨询的科室</option>
                				<option value="儿科">儿科</option>
                				<option value="妇科">妇科</option>
                				<option value="男科">男科</option>
                				<option value="外科">外科</option>
                				<option value="内科">内科</option>
                				<option value="五官科">五官科</option>
                			</select>
                		</div>
                	</div>
                </div>
                <div class="form-group">
                	<a style="font-size: 15px; color: black;">问题描述</a><a style="color: red;">*</a>
                    <textarea style="height: 200px;" type="text" class="form-control" placeholder="请较详细的描述您的症状" required=""></textarea>
                </div>
				<br /><br />
                <button type="submit" class="btn btn-primary block full-width m-b">提 交</button>
				
            </form>
        </div>
    </div>

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    <script src="js/plugins/iCheck/icheck.min.js"></script>
    <script>
        $(document).ready(function () {
            $('.i-checks').iCheck({
                checkboxClass: 'icheckbox_square-green',
                radioClass: 'iradio_square-green',
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</body>

</html>
